Provider Demographics
NPI:1932377587
Name:BAY PODIATRY ASSOCIATES,PLLC
Entity Type:Organization
Organization Name:BAY PODIATRY ASSOCIATES,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:GIAMMARINO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-266-1986
Mailing Address - Street 1:8635 21ST AVE APT 1C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4033
Mailing Address - Country:US
Mailing Address - Phone:171-826-6198
Mailing Address - Fax:718-266-2203
Practice Address - Street 1:8635 21ST AVE APT 1C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4033
Practice Address - Country:US
Practice Address - Phone:171-826-6198
Practice Address - Fax:718-266-2203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-18
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002850-1213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0003330OtherGHI
NYKS894OtherOXFORD
NY1791598OtherAETNA
NY36584POtherH.I.P.
NY063387OtherELDERPLAN
2511826OtherTOUCHSTONE
NY62210946OtherALANTIS
NYP32051OtherBLUE CROSS BLUE SHIELD
NY004786447Medicaid
NY346800101OtherHEALTH PLUS
NY6C4078OtherHEALTHNET
NY346800101OtherHEALTH PLUS
NY063387OtherELDERPLAN
NY004786447Medicaid